Evidence map›Paper›PMID 31282247›Full record

ArticleActa orthopaedica2019

Cementing of the hip arthroplasty stem increases load-to-failure force: a cadaveric study.

Antonio Klasan, Martin Bäumlein, Christopher Bliemel, Sven Edward Putnis, Thomas Neri, Markus Dietmar Schofer, Thomas Jan Heyse

Abstract read
In one paragraph

Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Clinical outcome of periprosthetic femoral fractures: the influence of fracture pattern and patient specific risk factors.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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  3. Article
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  9. High prevalence and undertreatment of osteoporosis in elderly patients undergoing total hip arthroplasty.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
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  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Antonio KlasanUniversity Hospital Marburg, Center for Orthopedics and Traumatology , Marburg , Germany.
Martin BäumleinUniversity Hospital Marburg, Center for Orthopedics and Traumatology , Marburg , Germany.
Christopher BliemelUniversity Hospital Marburg, Center for Orthopedics and Traumatology , Marburg , Germany.
Sven Edward PutnisSydney Orthopaedic Research Institute , Chatswood , Australia.
Thomas NeriUniversity Hospital St. Etienne, Department of Orthopaedic Surgery , Saint-Priest-en-Jatez , France.
Markus Dietmar SchoferOrthomedic Frankfurt Offenbach , Offenbach , Germany.
Thomas Jan HeyseOrthomedic Frankfurt Offenbach , Offenbach , Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - To date, there is not a single clinical or mechanical study directly comparing a cemented and a cementless version of the same stem. We investigated the load-to-failure force of a cementless and a cemented version of a double tapered stem. Material and methods - 10 femurs from 5 human cadaveric specimens, mean age 74 years (68-79) were extracted. Bone mineral density (BMD) was measured using peripheral quantitative computed tomography. None of the specimens had a compromised quality (average T value 0.0, -1.0 to 1.4). Each specimen from a pair randomly received a cemented or a cementless version of the same stem. A material testing machine was used for lateral load-to-failure test of up to a maximal load of 5.0 kN. Results - Average load-to-failure of the cemented stem was 2.8 kN (2.3-3.2) and 2.2 kN (1.8-2.8) for the cementless stem (p = 0.002). The cemented version of the stem sustained a higher load than its cementless counterpart in all cases. Failure force was not statistically significantly correlated to BMD (p = 0.07). Interpretation - Implanting a cemented version of the stem increases the load-to-failure force by 25%.

Indexed as

CementationHip ProsthesisAgedArthroplasty, Replacement, HipBone CementsBone DensityCadaverFemaleFemoral FracturesFemurHumansMaleMaterials TestingPeriprosthetic FracturesProsthesis DesignProsthesis FailureBone Cements

Identifiers

PMID31282247
PMCPMC6746255

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.